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uoia Analytical EXXON COSANY, U.S.A. Z <br /> - 60 4v Chesapeake Dr. <br /> P.O. Box 2180,Houston,TX 77002-7426 �" i�D q(Y <br /> woAadwood Cily,CA 94063 CHAIN OF CUSTODY I-- <br /> (415)364-9600 • FAX(415)364.9233 <br /> _ Page —,� of ]-- <br /> Consultant's Name: <br /> Address: 3 (D �,, r, �' ; 4 2r�U Site Location: S a�1t <br /> Project H: DdAs-sko <br /> Consultant Project 1): V)0)s b�oConsultant Work Release II: <br /> Protect Contact: �1� Phone II: (ci ) r _ZpS ' Laboratory Work Release #: <br /> EXXON Contact: Mt6l, Phone tt: EXXON RAS <br /> �-� <br /> Sampled by (print): 11�Vd, <br /> Sampler's Signature: l�Shipment Method: Air Bill : <br /> ANALYSIS REQUIRED <br /> TAT: C124 hr ❑ 48 hr ❑ 72 hr & 96 hr 10 Standard (10 day) <br /> ix N of Sequoia's TPhI1Gas TPl�il TRPI1 Teaipeialure: __,__ <br /> Sample collection Collection Matr S.M. <br /> Prs� BTEX/ Diesel <br /> pescription Dale Time SoMalerlAir Cont. Sample It 60151 EPA 5520 lnbau,dseai: Yes No <br /> OUIL)OLL110 Se'dl: Yes Na R, <br /> 8020 8015 .o <br /> a <br /> cr <br /> ns <br /> 0 <br /> 4) <br /> r <br /> _ { t�.�✓L �Lt. `Ifl2 r.i l� <br /> 0 <br /> a <br /> Q) <br /> N <br /> Q) <br /> RELINQUISHED <br /> RELINQUISHED BY/AFFILIATION Date Time ACCEPTED AFFILIATION Date Tillie Additional Comments <br />